Individual
SUSAN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1083 DELAWARE AVE, BUFFALO, NY 14209-1635
(716) 882-1023
(716) 882-1022
Mailing address
1083 DELAWARE AVE, BUFFALO, NY 14209-1635
(716) 882-1023
(716) 882-1022
Taxonomy
Speciality
Code
Description
License number
State
163WX0601X
Otorhinolaryngology & Head-Neck Registered Nurse
Primary
2368121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BA0645
GROUP PIN#
NY
Enumeration date
06/30/2006
Last updated
07/08/2007
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